Lab Experience with audio 2021

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Cardiorespiratory Fitness Lab Experience

Chapter 15

Copyright ©2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

1

Cardiorespiratory Fitness

The ability to perform large muscle, whole body physical activity of moderate to high intensity for relatively long periods of time.

The ability of the circulatory and respiratory systems to adjust to vigorous exercise and recover from the effect of such exercise.

It is important to measure cardiorespiratory fitness because it is an important indication of your overall health and a leading predictor of your life expectancy.

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Graded Exercise Tests

Cardiorespiratory fitness measured using:

Treadmill

Cycle ergometer

Stepping bench

Incremental tests

Work rate increases every 2–3 minutes

until predetermined endpoint is reached

Tests can be maximal or submaximal

Graded Exercise Tests: Measurements

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Graded Exercise Tests: Measurements

Heart Rate

Measured by

Palpation

Carotid or radial artery

Stethoscope

On chest wall

ECG

Heart rate displayed on monitor

Measured during exercise or in recovery

Recovery HR should be measured within first 15 seconds

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Ratings of Perceived Exertion (RPE)

Feelings of effort, strain, discomfort and fatigue a person feels during exercise.

Used to regulate and measure intensity of physical activity.

3 different scales can be used:

Borg (0 – 10)

Borg (6 – 20)

OMNI (0 – 10)

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Borg Scale (0 – 10)

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Borg (6 – 20) Scale

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OMNI Cycle Scale

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VO2 max

Maximum oxygen consumption (VO2 max)

the greatest rate at which oxygen can be taken in and utilized during exercise

The gold standard measure of cardiorespiratory fitness

Depends on work instrument

Highest values typically measured on treadmill

Walking ~6% lower than running

Lower values (~5–11%) on cycle ergometer

VO2 Max

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Metabolic Responses to Exercise: Influence of Duration and Intensity

Oxygen Uptake during Incremental Exercise

Oxygen uptake increases linearly until maximal oxygen uptake (VO2 max) is reached

No further increase in VO2 with increasing work rate

VO2 max

“Physiological ceiling” for delivery of O2 to muscle

Affected by genetics and training

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Oxygen Uptake during Incremental Exercise

Physiological factors influencing VO2 max

Maximum ability of cardiorespiratory system to deliver oxygen to the muscle

Ability of muscles to use oxygen and produce energy aerobically

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Changes in Oxygen Uptake During Incremental Exercise

Metabolic Responses to Exercise: Influence of Duration and Intensity

Figure 4.7

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Measurement of VO2 max

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13

Measurement of VO2 max

Watch the V0 2 Max Test Video

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Estimation of VO2 max From Last Work Rate

Direct measurement of VO2 max is often not practical (complexity and cost)

Can use equations to calculate estimated VO2 max from the last stage of GXT

Must allow time for subject to reach steady state in each stage

VO2 Max

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15

Estimation of VO2 max From Submaximal Heart Rate Response

Measure HR at several submaximal work rate

Up to 70–85% age-predicted maximal HR (220 –age)

Extrapolate submaximal HR to estimate VO2 max

A line is drawn through the HR points measured during the test and extrapolated to the age-adjusted estimate of maximal HR

Another line is dropped down from that point to the x-axis, and the VO2 max is identified

VO2 Max

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Estimation of VO2 max from Submaximal Treadmill Test

Graded Exercise Test: Protocols

Figure 15.5

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Estimation of VO2 max From Submaximal Heart Rate Response

Problems

SD of Age-predicted maximal HR is ±11 beats•min–1

Can result in over- or underestimation of VO2 max

Other factors affect submaximal HR response

e.g., dehydration, temperature, medications

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Metabolic Equivalents (MET)

Expression of the rate of energy expenditure at rest

1 MET = energy cost at rest

1 MET = 3.5 ml•kg–1•min–1

Example:

Submax test estimated a VO2max of 11.6 METS

Convert METS to ml•kg–1•min–1 by multiplying by 3.5

11.6 x 3.5 = 40.6 ml•kg–1•min–1

Metabolic Equivalents

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Aerobic Fitness Classifications

Tests for Estimating CRF

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